Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Facility		$256.08	$256.08	$256.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $308.66	Professional		$256.08	$256.08	$308.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.73 / $256.08 / $317.16	Professional		$253.73	$256.08	$317.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $431.10 / $510.18	Facility		$255.09	$431.10	$510.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $283.97 / $1,096.76	Professional		$255.09	$283.97	$1,096.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $322.93 / $405.58	Facility		$298.08	$322.93	$405.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $309.83 / $382.64	Professional		$292.87	$309.83	$382.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.24 / $280.24 / $280.24	Professional		$280.24	$280.24	$280.24
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $304.75	Professional		$256.08	$256.08	$304.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $279.16 / $279.16 / $279.16	Facility		$279.16	$279.16	$279.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $279.16 / $279.16	Professional		$279.16	$279.16	$279.16